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Individual

GWENDOLYN MARIE JENKINS-WIMBERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2423 FORT WORTH AVE APT 1205, DALLAS, TX 75211-1751
(214) 584-4770
Mailing address
2423 FORT WORTH AVE APT 1205, DALLAS, TX 75211-1751
(214) 584-4770

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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